Individual provider Active NPI

Nicola Zwaschka, RDH,MS

  • Dental Hygienist
  • Montrose, CO
National Provider Identifier
1902202070
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH000201748 Issued in CO
Practice address
1550 E. Niagara Road
Montrose, CO 81401-5027
Phone
(970) 497-4921
Fax
(970) 701-4161
NPI assigned
Nov 17, 2014
Last updated
Jan 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH000201748 CO Primary

Addresses

Primary practice location

1550 E. Niagara Road
Montrose, CO 81401-5027

Mailing address

PO Box 183
Montrose, CO 81402-0183
Phone (970) 209-7059

Other identifiers 1

IdentifierTypeStateIssuer
54456258MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DH000201748COMDDental Hygienist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1902202070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 183",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814020183",
            "telephone_number": "970-209-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 E. NIAGARA ROAD",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015027",
            "telephone_number": "970-497-4921",
            "fax_number": "970-701-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWASCHKA",
        "first_name": "NICOLA",
        "credential": "RDH,MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-17",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "DH000201748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54456258",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.